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1851841449
JOHN DOUGLAS MOORE
VIRGINIA BEACH, VA
NPI
1851841449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2016-10-07
Last Update Date
2016-10-07
Business Address
Mr. JOHN DOUGLAS MOORE DIVE IDC
1004 HERMITAGE RD BLDG 1014
VIRGINIA BEACH, VA 23459-9100
Phone number: 757-462-3178
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Mailing Address
Mr. JOHN DOUGLAS MOORE DIVE IDC
1004 HERMITAGE RD BLDG 1014
VIRGINIA BEACH, VA 23459-9100
Phone number: 757-462-3178
Copy
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